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Update, I met with surgeon today and he asked if I was in pain, I told him no, he said he would wait for any surgery. He said the surgery can happen anytime or never at all. It's up to me. After considering the risks of surgery vs no surgery I'll take the doctors advice. So a thumb I can close but not open is better than something in between
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You could always fashion a spring to bring your thumb back in the open position...
Can they recommend some type of home therapy to help get it more usable?